BHS Patient Complaint Center, Inc.

P.O. Box 201281, San Antonio Texas 78220 – (210) 685-9624 – Website Pending

2015 Texas Current DATA Base Listings

February 3, 2015: McAllen Area Ambulance Co. Owner Pleads Guilty in Health Care 

  Fraud Scheme; Frank Gonzalez, 32, is the owner of a McAllen area ambulance transportation company who was charged in a federal indictment for his role in a scheme to defraud Medicare and Medicaid through fraudulent billings.

Gonzalez was responsible for submissions of $601,000 in fraudulent claims, resulting in the payment of $317,795.34 to Gonzalez. He faces a maximum of 10 years in federal prison and a possible $250,000 fine.

February 17, 2015: Tyler Texas, Joshua Hippler; Joshua Hippler, 30, formerly of Longview, Texas pleaded guilty on Aug. 28, 2014, to wrongful disclosure of individually identifiable health information and was sentenced to 18 months in federal prison.

April 14, 2015: Tyler Texas Physician, Tariq Mahmood; Tariq Mahmood, 63, of Cedar Hill, Texas, was found guilty by a jury of conspiracy to commit health care fraud; and seven counts of aggravated identity theft. He was sentenced to 135 months in federal prison and ordered to pay restitution in the amount of $599,182.02 to Medicare, Medicaid, and Blue Cross Blue Shield of Texas. Mahmood, a general practitioner, owned and operated several hospitals in the state of Texas, including Cozby Germany Hospital in Grand Saline, Renaissance Terrell Hospital in Terrell, Central Texas Hospital in Cameron, Community General Hospital in Dilley, and Lake Whitney Medical Center in Whitney.

April 21, 2015: Texas-Based Citizens Medical Center Agrees to Pay United States $21.75 Million to Settle 

 Alleged False Claims Act Violations; Citizens Medical Center, a county-owned hospital in Victoria, Texas, has agreed to pay the United States $21,750,000 to settle allegations that it violated the False Claims Act by engaging in improper financial relationships with referring physicians. The allegations settled arose from a lawsuit filed by three whistleblowers, Dakshesh “Kumar” Parikh, Harish Chandna and Ajay Gaalla, under the qui tam provisions of the False Claims Act. Under the act, private citizens can bring suit on behalf of the government for false claims and share in any recovery. The whistleblowers will collectively receive $5,981,250 from the recoveries.

One of the most powerful tools in this effort is the False Claims Act cases. Since January 2009,  the Justice Department has recovered a total of more than $24 billion through False Claims Act cases, with more than $15.3 billion of that amount recovered in cases involving fraud against federal health care programs.

June 17, 2015: Tyler Texas, Joe White, former Chief Financial Officer of Shelby Regional Medical Center has been sentenced to federal prison; Joe White, 68, of Cameron, Texas, pleaded guilty to making a false statement and was sentenced to 23 months in federal prison. White was also ordered to pay restitution in the amount of $4,483,089.09 to Medicare’s Electronic Health Record (EHR) Incentive Program. According to information presented to the court, White was the Chief Financial Officer for Shelby Regional Medical Center in Center, Texas, in addition to the other hospitals owned and operated by Dr. Tariq Mahmood.

Page 1

BHS 2015 Texas Current DATA Listings;

July 9, 2015: Houston Texas, Two Doctors and Four others arrested in $12 Million Health Care Fraud Conspiracy; those charged and arrested include the owner and operator of the clinics and lab, Mktrich “Mike” Yepremian, 58, Dr. Harding Ross, 61, Dr. Faiz Ahmed, 63, Jermaine Doleman, 38, Michael Wayne Wilson, 46, and Eric Johnson, 61, all of Houston.

According to the indictment, the scheme began in 2006. The indictment alleges Yepremian controlled all funds from the false billing, but the clinics were allegedly held in the names of “straw owners.” The clinics involved included Crawford Medical Services, Mid City Healthcare and Family Practice all in Houston; Area Medical Clinic formally in Conroe and now in Houston, as well as a lab called Empire Clinical Laboratory in Houston. Yepremian was also charged with money laundering for allegedly funneling money to relatives.

July 27, 2015: Austin Doctor heads to Prison for Health Care Fraud; Dr. Dennis B. Barson Jr., 42, has been ordered to federal prison following in his convictions related to a conspiracy to defraud Medicare of $2.1 million; also convicted was Barson’s medical clinic administrator, Dario Juarez, 55, and Edgar Shakbazyan.

Fraudulent billing involved rectal sensation test and electromyogram (EMG) studies of the anal or urethral sphincter which were never performed.

July 31, 2015: McAllen-Area Doctor’s assistant convicted in illegal Kickback Scheme; Argentina Cavazos, 57, admitted to engaging in a kickback scheme by exchanging referrals of Medicare beneficiaries for money from November 15, 2010 to July 9, 2012. Cavazos faces up to 5 years in federal prison and a possible $25,000 fine.

August 1, 2015: Former Neuro Texas Surgeon, Dr. Christopher Duntsch, 44, indicted for Neglect which led to 2 deaths; according to state regulators a former Dallas neurosurgeon was so neglectful during operations that his actions led to the deaths of two patients and left others with disabling injuries in what’s seen as the worst case of malpractice in Texas.

Dr. Duntsch lost his medical license in 2013, and could face potential prison time after being indicted on multiple assault charges relating to his treatments of patients.

August 4, 2015: Ellis County Woman Admits Defrauding Medicaid; Alexis C. Norman, 47, of Midlothian, Texas, was the CEO and Executive Director of Greater Southwest Group, Inc. (GSWG) and Ellis County Community Services (ECCS). She obtained Medicaid group numbers for GSWG and ECCS and used those numbers, together with individual Medicaid provider numbers of licensed counselors and Medicaid recipient information, to submit fraudulent claims to Medicaid.

From December 2, 2009, through July 17, 2014, Norman submitted claims to Medicaid and to Medicaid Managed Care Organizations, through GSWG and ECCS, totaling approximately $5,502,724.88; Norman was paid approximately $2,596,045.97 for these claims.

August 24, 2015: McAllen Area Dr. Eduardo Carrillo, 42, of Edinburg Previously indicted in an illegal kickback scheme has been charged with new allegations of Health Care Fraud; The 12-Count superseding indictment alleges Carrillo attempted to cause others to bill Medicare for 34 patients who were actually deceased on the dates Carrillo claimed to have provided services to them.

Carrillo was previously charged along with his assistant, Martha Medrano, also of Edinburg in an indictment returned June 9, 2015, for their scheme to solicit and obtain illegal kickbacks in exchange for patient referrals.

Page 2

BHS 2015 Texas Current DATA Listing;

August 24, 2015: Fake Hospice Nurse Sentenced to 48 Months in Federal Prison; Jada Necole Antoine, 34, obtained employment at eight different hospice companies in the DFW area, including Heart to Heart Hospice of Texas, Odyssey Healthcare GP, LLC, Community Hospice of Texas, Elysian Hospice, Hospice Pharmacy Solutions, New Century Hospice, Keystone Custom Care Hospice, and Silverado Senior Living Hospice, by using a stolen identity of a registered nurse.

Antoine, was sentence to 48 months in federal prison and ordered to pay $233,000.00 in restitution.

September 29, 2015: San Angelo Psychiatrist admits committing Health Care Fraud; Robert Hadley Gross, 58, pleaded guilty to one count of Health Care fraud stemming from a scheme he ran to defraud Medicare and Medicaid by submitting claims for services not rendered in the manner billed, including submitting claims for services allegedly rendered after patients’ deaths. Gross faces a maximum statutory penalty of 10 years in federal prison and a $250,000 fine, including $1,832,869 in restitution to the U.S.

October 5, 2015: Houston Clinic Manager Guilty of Health Care Fraud; Verona Spicer, 46, owner and operator of Elite P. Care Medical Services admitted that she hired a physician to sign patient medical documents at her clinic which had office locations on Harwin Drive in Houston and in Port Arthur. Spicer told the court that she filed Medicare and Medicaid enrollment applications in order for her to bill for services.under the doctor’s Medicare and Medicaid provider numbers even though the physician did not see or evaluate the patients at the clinic.

Spicer also admitted to submitting claims for fraudulent physical therapy and diagnostic test claims. Pursuant to the plea deal agreement, Spicer agreed to pay Medicare and Medicaid $508,868.70 in restitution.

October 5, 2015: Pharr Woman Sentenced in Liquid Silicone Injections; Maribel Quintero, 39, was sentenced to 16 months in federal prison, to be followed by 3 years of supervised release; she also will pay $15,760 in restitution to one of her victims.

Quintero admitted administering injections of liquid silicone into individuals who wanted to enhance the structure of their buttocks, she also falsely represented to customers that the liquid silicone was safe, when in fact it was not.

 

June 9, 2015 Update: Houston Former President of Riverside General Hospital Sentenced to 45 years in Prison in $158 Million Medicare Fraud Case, along with Co-Conspirators to 20, and 12 years; Earnest Gibson III, 70, Earnest Gibson IV, 37, and Regina Askew, 50, were sentenced; the younger Gibson operated Devotions Care Solutions, and Askew owned the Safe and Sound Group Home; they were convicted of conspiracy to commit health care fraud, conspiracy to pay and receive kickbacks, as well as related counts of paying or receiving kickbacks; also both Gibsons were convicted of conspiracy to commit money laundering. The elder Gibson was ordered to pay $46,753,480, and the son ordered to pay $7,518,480 while Askew was ordered to pay $46,255,893 in restitution.

A Co-Defendant, Robert Crane, a patient recruiter, also was convicted of conspiracy to pay and receive kickbacks, and is scheduled to be sentenced.

Six others were involved in the scheme, Mohammad Khan, William Bullock, Leslie Clark, Robert Clark, Robert Ferguson, Waddie McDuffie, and Sharonda Holmes and are awaiting sentencing.

Page 3

BHS 2015 Texas Current DATA Listings;

October 29, 2015: Houston Man Pleads Guilty to Conspiracy to Defraud Medicare; Robert Manning, 60, admitted he participated in a 3 year conspiracy to defraud Medicare by paying kickbacks to Medicare beneficiaries whose Medicare information was then used to file fraudulent claims with Medicare; he was introduced to a medical clinic manager who agreed to pay him $125 per head for Medicare beneficiaries brought to the clinic. Manning faces up to 15 years in federal prison and a possible $500,000 fine.

October 29, 2015: Houston – Three More Arrested in $12 Million Health Care Fraud Conspiracy; Bompa Mbokosa Mompiere, 56, Ann Marie Rocha, 48, and Eddie Wayne Taylor, 56, are charged in a 30 count superseding indictment with conspiracy to commit health care fraud; the original 25-count indictment charged Mktrich “Mike” Yepremian, 58, Dr. Harding Ross, 61, Dr. Faiz Ahmed, 63, Jermaine Doleman, 38, Michael Wayne Wilson, 46, and Eric Johnson, 61.

Yepremian was the owner and operator of the clinics and lab. The indictment alleges Yepremian paid Doleman, Wilson, Johnson and Taylor to bring Medicare and Medicaid patients to his clinics so they could be billed for multiple, medically unnecessary diagnostictests and for unnecessary blood tests. In turn, the patients were allegedly paid by Yepremian, Doleman, Wilson, Johnson and Taylor to attend the clinics.

The clinics were named Crawford Medical Services, Mid City Healthcare, Care Family Practice, Area Medical Clinic, while the lab was named Empire Clinical Laboratory.

The statutory maximum penalty for conspiracy, money laundering or health care fraud is upto 10 years in prison as well as a maximum $250,000 fine.

 

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>